Remarks on the routine use of the ophthalmoscope in cerebral disease / by J. Hughlings Jackson.

  • Jackson, J. Hughlings (John Hughlings), 1835-1911.
Date:
1879
Catalogue details

Licence: Public Domain Mark

Credit: Remarks on the routine use of the ophthalmoscope in cerebral disease / by J. Hughlings Jackson. Source: Wellcome Collection.

Provider: This material has been provided by UCL Library Services. The original may be consulted at UCL (University College London)

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    not bite her tongue. She remained in a stupid condition all day. 7th.—Patient can be roused with difficulty. Continues vomiting. Dr. Hughlings Jackson saw her and dictated as follows :—' There is double optic neuritis ; minute exa- mination impracticable. She is very much thinner than she was a week ago. There is no paralysis apparently, but she is too ill to get out of bed for careful examina- tion.' 8th.—Two fits this morning, one at 9 a.m, the other at 10 a.m. Nurse states that before the first she had a rigor, which lasted a quarter of an hour. During the fit she had twitching of the muscles of the face and eyelids, but both upper and lower extremities were apparently powerless. The second fit was similar to the first, except that the twitching of the face was absent. Passes urine in the bed. Tongue is moist, tremulous, and red. 14th.—She has improved very much since the 8th. Vomiting, pain, and giddiness much less. Discharge from the ear is very profuse. Passes better nights. Bowels constipated. 29th.—Her general symptoms have been much the same since the last report; some days she has been suffi- ciently well to get up and do needlework, at others as bad as ever. Has had no more fits. Dr. Hughlings Jackson made the following remarks :—* The optic discs are still swollen, and very prominent over a small area. Veins are very dark. Effusions of blood at the edge of the swelling. General manner much improved since 1 last examined her.' July 31st.—Dr. Hughlings Jackson saw her again, and made the following remarks :—*She has been much worse for the last two days; but since I saw her on